Inspection on 19/01/06 for 15 Sorrel Drive

This inspection was carried out on 19th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

15 Sorrel Drive 06/11/08

15 Sorrel Drive 23/01/08

15 Sorrel Drive 08/02/07

15 Sorrel Drive 01/09/05

15 Sorrel Drive 26/03/05

15 Sorrel Drive 19/11/04

15 Sorrel Drive 20/02/04

15 Sorrel Drive 10/12/03

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 15 Sorrel Drive 15 Sorrel Drive Boughton Vale Rugby Warwickshire CV23 0TL Lead Inspector Sheila Briddick Unannounced Inspection 19th January 2006 09:30 15 Sorrel Drive DS0000004332.V280095.R01.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address 15 Sorrel Drive DS0000004332.V280095.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 15 Sorrel Drive DS0000004332.V280095.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 15 Sorrel Drive Address 15 Sorrel Drive Boughton Vale Rugby Warwickshire CV23 0TL 01788 546310 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Elaine Sandra Ward Mrs Elaine Sandra Ward Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 15 Sorrel Drive DS0000004332.V280095.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st September 2005 Brief Description of the Service: 15 Sorrel Drive was originally an adult placement home and was later registered as a small care home for younger adults with a learning disability. It is currently registered for 3 people. The home is a detached property, which has recently been extended, and is situated in Brownsover on the outskirts of Rugby. The home is close to local amenities and services. Service users have their own bedrooms and share the home with Mrs Ward and her family, as part of the family. The family shared space consists of a kitchen, dining room, the lounge, conservatory and bathroom. There is a shower room facility on the ground floor. Two service users have a bedroom on the ground floor of the property. A third service user has a bedroom on the first floor. At the rear of the property there is a small, well-maintained garden. 15 Sorrel Drive DS0000004332.V280095.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 19 January 2006 between the hours of 2:30 p.m. and 4:30 p.m.. During this time the Inspector had the opportunity to meet with two service users and their views were sought on the service provision. Service users showed the Inspector their bedrooms and the shared areas of the home. Records relating to the management of the home and care of the people living there were examined. This service is provided from the registered providers family home and as such does not have the support and assistance of an umbrella organisation who could possibly provide support and Regulation guidance. The registered provider however demonstrated the importance of the service focusing on positive outcomes for service users and this is done well. The standards assessed on this occasion focused primarily on the outcomes for the people living in the home. What the service does well: What has improved since the last inspection? A statement of purpose and service user guide has been produced for the service provision, reflecting the ethos of this home of providing care for people in the providers own home and as a member the family group. A system for 15 Sorrel Drive DS0000004332.V280095.R01.S.doc Version 5.1 Page 6 medicine management is now established and this is very comprehensive. Quality assurance systems being developed include a section for seeking the views of other professionals involved in the care provision of the people living in the home. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 15 Sorrel Drive DS0000004332.V280095.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 15 Sorrel Drive DS0000004332.V280095.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 The people living in this home have sufficient information about lifestyle in the home and their rights and responsibilities within it. EVIDENCE: A Statement of Purpose and Service User Guide has now been produced and this gives clear information about the services and facilities and ethos of the home. A copy of the complaints process is included in the service user guide. 15 Sorrel Drive DS0000004332.V280095.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 The people living in this home are supported and involved in decisions being made about their lifestyle as well as their everyday choices. EVIDENCE: Throughout this visit the registered provider demonstrated the ethos of the service in encouraging and supporting people to be fully involved in any decisions about their lives. People are able to freely discuss their plans for the future and when this includes moving on to independent living the registered provider is ensuring that they have the appropriate opportunity to discuss this with social workers and their family members. The people living in the home were seen to be comfortable in their environment and the people they were living with. They did not ask about whether they could do this or do that, and were making their own choices about activities. 15 Sorrel Drive DS0000004332.V280095.R01.S.doc Version 5.1 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 17 The people living in this home are enjoying well balanced and nutritious meals in a flexible and congenial setting. EVIDENCE: The evening meal was being prepared at the time of this visit and this was well balanced and nutritious. The family eat together and individual food choices are respected. The manager has an example menu in the Statement of Purpose which demonstrates their understanding of healthy food and good nutrition. People living in the home said the food was nice. Action has been taken to meet an identified healthy eating programme for one service user following their recent Health Action planning assessment. The program has been developed with the support of dieticians and weight is being monitored. 15 Sorrel Drive DS0000004332.V280095.R01.S.doc Version 5.1 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 20 The health needs of the people living in this home are well met with evidence of multi-disciplinary working taking place on a regular basis. Medicine management is ensuring that medication in the home can be accounted for. EVIDENCE: The registered provider demonstrated a commitment to ensuring and maintaining the health and well-being of the people living in the home. She is working closely with specialist consultants, including psychologists and learning disability nurses, to support people to manage their existing and changing health-care needs. This includes effective monitoring of medication and the effects this has on a person, attending health clinics and supporting people positively to understand their changing needs. The recording process of the administration of medicine in the home has greatly improved since the last visit. Records are now kept of all medicines received, administered and leaving the home. 15 Sorrel Drive DS0000004332.V280095.R01.S.doc Version 5.1 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 People living in this home can be sure that the registered provider has an understanding and knowledge of vulnerable adult issues and of their responsibility to protect them from harm. EVIDENCE: People spoken with said they felt safe and appeared happy and relaxed in their environment and with the people they were living with. The manager demonstrated a good understanding of vulnerable adult issues and her responsibility within this for the people living with her and her family. The manager is providing all personal care to the people living in the home however, on occasions of her absence from the home she employs a ‘relief’ carer. This person holds employment with children and as such has had Criminal Records Bureau clearance and this was confirmed by the Authority employing them. A good practice recommendation was made for the registered provider to hold a copy of this certificate on the home records. 15 Sorrel Drive DS0000004332.V280095.R01.S.doc Version 5.1 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 The people living in this home are living in a comfortable and safe environment which is appropriate for their particular lifestyle and needs. EVIDENCE: This service is provided from the registered providers own home. The home is warm and welcoming, homely, clean and comfortable and being maintained to a high standard. People spoken with said they ‘really’ liked living in the home. The home is close to local amenities, local transport and relevant support services. Service users are supported to be independent and access the local community which includes going swimming and attending college. The registered provider talked about the neighbourly relationships there are in the community and of activities people share. This included bonfire parties and barbecues in the summer. People were seen to be able to move about freely about the house and appropriate provision has been made for people with specific mobility needs, including handrails, when necessary. 15 Sorrel Drive DS0000004332.V280095.R01.S.doc Version 5.1 Page 14 Furnishing and fittings in the home are of good quality and the decor is bright and cheerful. Service users bedrooms reflect their lifestyle and interests, service users said they liked their rooms when they showed them to the inspector. 15 Sorrel Drive DS0000004332.V280095.R01.S.doc Version 5.1 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed on this occasion. EVIDENCE: 15 Sorrel Drive DS0000004332.V280095.R01.S.doc Version 5.1 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 38, 39 and 42 The registered provider has a clear vision for the home which promotes an open, positive and family lifestyle atmosphere. The people living there can be sure that their views are both sought and acted upon and that their welfare and safety is promoted and protected. EVIDENCE: The registered provider is to be commended for the quality assurance system that they have developed. The system is very comprehensive and includes formats for seeking the views of professionals and family members. The registered providers ethos in this home is to enable people to enjoy an ordinary and meaningful lifestyle and demonstrated the importance of fostering an atmosphere of openness and respect, where family values matter. This is a busy home with family members visiting on a regular basis and service users were seen to be very happy about this lifestyle. One service user made particular reference to enjoying having lots of people here, especially when the little ones, (the grandchildren) visit. This was what they liked best about living in the home. 15 Sorrel Drive DS0000004332.V280095.R01.S.doc Version 5.1 Page 17 The registered manager demonstrated through discussion that the health, safety and welfare of the people living in the home is promoted and protected. They demonstrated an understanding of the risks in the home and for individual activities. Fire safety is managed well with smoke alarms being tested monthly and the fire drill discussed with service users on a regular basis. Escape routes from the home are well lit with emergency lighting and an escape ladder is in place to be used in an emergency. A good practice recommendation was made regarding informing the fire brigade of the care home status. There is a missing person procedure for the home. The registered provider has a food hygiene certificate and ensures that fridge and freezer temperatures are monitored. 15 Sorrel Drive DS0000004332.V280095.R01.S.doc Version 5.1 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 3 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 N/A 32 N/A 33 N/A 34 N/A 35 N/A 36 N/A CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 3 X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 3 X X 3 3 X X 3 X 15 Sorrel Drive DS0000004332.V280095.R01.S.doc Version 5.1 Page 19 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA23 YA42 Good Practice Recommendations It is recommended that the registered provider maintains a copy of the relief carers Criminal Record Bureau clearance certificate. It is recommended that the registered provider confirm with the local fire service the homes status as a Registered Care Home and the needs of the people living there in the event of an emergency. 15 Sorrel Drive DS0000004332.V280095.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Leamington Spa Office Imperial Court Holly Walk Leamington Spa CV32 4YB National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 15 Sorrel Drive DS0000004332.V280095.R01.S.doc Version 5.1 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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